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Coming to a Brew Near You: Calorie Counts, Carbs Info

THURSDAY, July 21, 2016 (HealthDay News) — Calorie counts and carbs might be the last thing on your mind as you tip back a cold beer on a steamy summer evening. But that information and more will soon be easy to find, thanks to a new coalition of U.S. beer makers and importers.

The coalition has developed a voluntary labeling program to detail what’s in its beers, a Beer Institute news release said.

Beer labels will provide calorie, carbohydrate, protein, fat and alcohol-by-volume or alcohol-by-weight information. All ingredients will be disclosed on the label, either on a list of ingredients, a smartphone QR code, or on a website. Beer labels or containers will also clearly display a freshness date or date of production.

All of the major breweries have agreed to be a part of the coalition. These companies include: Anheuser-Busch, MillerCoors, Heineken USA, Constellation Brands Beer Division, North American Breweries and Craft Brew Alliance. These brands account for more than 81 percent of volume of beer sold in the United States, the Beer Institute said.

Consumers will likely start seeing these labels in the near future. Participating companies are urged to have their product lines in compliance with the new guidelines by the end of 2020.

More information

The U.S. National Institute on Alcohol Abuse and Alcoholism explains the health effects of alcohol.





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Did Your Gut Bacteria Evolve Over Millions of Years?

THURSDAY, July 21, 2016 (HealthDay News) — Some human gut bacteria may have existed for millions of years — since before the evolution of people, scientists report.

Their findings suggest evolution has had a greater impact on human gut bacteria than previously known, said study co-leader Howard Ochman, a professor of integrative biology at the University of Texas at Austin.

“It’s surprising that our gut microbes, which we could get from many sources in the environment, have actually been co-evolving inside us for such a long time,” Ochman said in a university news release.

The researchers analyzed the genes of three groups of gut bacteria. These bacteria play a role in intestinal development, train the immune system to fight dangerous germs, and may also affect mood and behavior, the study authors said.

The three groups of gut bacteria reportedly account for more than 20 percent of the gut microbiome.

The study revealed that these types of gut bacteria were present in a common ancestor of humans and African great apes that lived more than 10 million years ago. The bacteria evolved into distinct strains as humans and great apes went their separate evolutionary ways, the researchers said.

The bacteria examined were in fecal samples from wild African great apes — chimpanzees, bonobos and gorillas — and from Connecticut residents.

“We’ve known for a long time that humans and our closest relatives, the great apes, harbor these bacteria in our guts, and the biggest question we wanted to answer is, where did these bacteria come from?” said study co-leader Andrew Moeller. “Did we get them from our environment or from our evolutionary history? And how long have they persisted in host lineages?”

Moeller, a postdoctoral researcher at the University of California, Berkeley, said what’s most exciting to him is the possibility that this link could extend much further back in time.

“Maybe we can trace our gut microbes back to our common ancestors with all mammals, all reptiles, all amphibians, maybe even all vertebrates,” he said. “If that’s true, it’s amazing.”

The study results were published July 21 in the journal Science.

More information

The U.S. National Institutes of Health has more on the human microbiome.





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Women Smokers at Higher Risk for Brain Bleed

By Steven Reinberg
HealthDay Reporter

THURSDAY, July 21, 2016 (HealthDay News) — Strokes characterized by bleeding inside the lining of the brain are more common among smokers, especially women, researchers report.

These serious strokes — called subarachnoid hemorrhages — are eight times more common among women who smoke more than a pack a day compared to nonsmokers, Finnish researchers found. They’re three times more common among men who smoke the same amount.

Even light smoking tripled a woman’s risk for this type of stroke, the study found.

“There is no safe level of smoking, and naturally, the best option is never to start,” said lead researcher Dr. Joni Lindbohm of the University of Helsinki.

“The message for policymakers is that by implementing effective strategies against smoking, they can considerably reduce the burden of subarachnoid hemorrhage,” said Lindbohm, who specializes in neurosurgery and public health.

Subarachnoid hemorrhages account for about 3 percent of all strokes, said Dr. Ralph Sacco, chairman of neurology at the University of Miami Miller School of Medicine.

These strokes often affect younger people and “can be quite devastating in terms of disability and death, with fatality rates around one in five,” said Sacco, who wasn’t involved in the study.

This type of stroke usually results from a bleeding aneurysm in the brain. An aneurysm is a small weak spot in a blood vessel that can burst at any time.

For the study, Lindbohm and colleagues collected data on nearly 66,000 adults listed in Finnish national surveys since 1972. Participants were followed for an average of 21 years, until they had a first stroke, died, or until the end of 2011.

The researchers found that among light smokers — one to 10 cigarettes a day — women were three times more likely to have subarachnoid hemorrhage, and men were twice as likely to have one compared to nonsmokers.

Among those who smoked 11 to 20 cigarettes a day, women were four times more likely and men two times more likely to suffer this type of stroke, the investigators found.

But those who quit smoking significantly reduced their odds of having a subarachnoid hemorrhage. After six months without smoking, their risk fell to the level of nonsmokers, the researchers reported.

Although subarachnoid hemorrhage is more common among women than men, the reasons why are unclear, Lindbohm and Sacco said. Lindbohm believes the elevated risk in women largely comes down to the harms of smoking.

The link between smoking and these strokes didn’t come as a surprise, Sacco noted. “The association between cigarette smoking and subarachnoid hemorrhage has been known for years,” he said.

“Although risks do rise with age, it is an important cause of stroke in the young,” he added.

As with other strokes, some factors likely increase the risk of developing an aneurysm that eventually ruptures and causes a subarachnoid hemorrhage, he explained.

“Cigarette smoking and high blood pressure are two important modifiable risk factors for subarachnoid hemorrhage,” Sacco said. “This study adds more evidence to the call to the public to never smoke, and control their blood pressure to avoid this type of stroke.”

Lindbohm said that heavy-smoking females with unruptured aneurysms in their brain are a high-risk population, and their aneurysms should be treated.

The report was published online July 21 in the journal Stroke.

More information

For more on subarachnoid hemorrhage, visit the Brain Aneurysm Foundation.





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3 in 4 Youngsters Exposed to Laundry Pod Detergent Suffer Poisoning

THURSDAY, July 21, 2016 (HealthDay News) — Brightly colored laundry detergent pods pose a much greater risk to young children than other types of detergents, a new study finds.

Researchers reviewed information on 36,000 American children treated at emergency departments for exposure to laundry detergent. The exposures occurred between 2012 and 2014. Among these kids, 10,000 came into contact with detergent in laundry pods, and 26,000 had contact with other types of laundry detergent, the study said.

Children younger than age 6 accounted for 94 percent of laundry pod cases. Kids under 6 were only involved in cases of contact with other types of laundry detergent 72 percent of the time, the findings showed.

Nearly three-quarters of children exposed to detergent from laundry pods were diagnosed with poisoning. Meanwhile, about three-quarters of those exposed to loose liquid or powder detergents were diagnosed with contact dermatitis (itchy or irritated skin), the researchers said.

Hospital admission — an indicator of serious injury — was four times higher among children exposed to detergent from laundry pods than those exposed to other types of detergent, the study found.

The study authors suggested that more should be done to protect kids, who may find the appearance of these laundry pod products “appealing” — for example, childproof containers, muted colors and opaque packaging. They also recommended improved public awareness of the threat.

In addition, parents and caregivers should store these detergents out of the reach of children, the researchers added.

Dr. Thomas Swain, of the University of Alabama at Birmingham’s Center for Injury Sciences, and colleagues published the findings online July 21 in the journal Injury Prevention.

“While the innovation of pod laundry detergent makes mundane home tasks easier, their use does require caution and vigilance to safety, especially in homes with young children,” the study authors explained in a journal news release.

Regulation of the pod products’ appearance may help make them less enticing to children, but “ultimately, it is the responsibility of caregivers to ensure a child-safe environment,” the team concluded.

More information

The American Association of Poison Control Centers has more on laundry detergent pods.





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Mouse Study Offers Hope for Vaccine Against Chlamydia

By Dennis Thompson
HealthDay Reporter

THURSDAY, July 21, 2016 (HealthDay News) — A new Canadian study with mice suggests there is hope for a vaccine to protect against chlamydia, a common, sexually transmitted infection that can render young women infertile if left untreated.

The vaccine works by interrupting the process by which chlamydia infects host cells, said senior researcher James Mahony, a professor of pathology and molecular medicine at McMaster University in Hamilton, Ontario.

In female lab mice, the vaccine essentially halted the spread of chlamydia and prevented sterility. However, it should be stressed that animal research often fails to pan out in humans, so further research is needed.

“The vaccine reduced the amount of bacteria in the vagina by about 95 percent” in the rodents, Mahony said. “More importantly, it reduced the pathology [disease] in the fallopian tubes by about 85 percent, which is quite remarkable. That’s probably enough to prevent infertility.”

There currently is no approved vaccine to protect against chlamydia, he added.

Chlamydia causes infertility by damaging the fallopian tubes, the female reproductive structure in which fertilization occurs, Mahony said. A blockage in the tubes can prevent a man’s sperm from reaching a woman’s egg.

Most women — as many as eight out of 10 — do not show any symptoms when they are infected with chlamydia, Mahony said.

“Women who get infected but don’t know they are infected don’t get a diagnosis, don’t get antibiotics, don’t get treated, [and] run the risk of tubal infertility,” he said.

To develop the vaccine, Mahony and his colleagues focused on the protein secretion system used by chlamydia to invade cells.

Chlamydia can only grow inside cells, and so it must invade cells to spread, Mahony explained. When the bacteria comes into contact with a cell, it secretes proteins that penetrate the cell and facilitate the process of invasion.

Out of 20 different proteins involved in the secretion system, the researchers identified three that are crucial to the process.

A vaccine created from these three proteins proved highly effective in protecting female mice from chlamydia, the researchers reported.

The team plans to perform a follow-up study in guinea pigs, and another in monkeys, before moving on to human trials, Mahony said. It will be at least four to five years before the vaccine can be tested in humans.

“It’s going to take a number of years,” he said. “This is just the first step, but it looks very, very promising.”

Human trials for a chlamydia vaccine will be tricky, said Dr. Bruce Farber, chief of infectious diseases at North Shore University Hospital in Manhasset, N.Y., and Long Island Jewish Medical Center in New Hyde Park, N.Y.

“We’re talking about many, many years of development and testing, particularly for a vaccine that’s not going to be easy to test,” Farber said. “Even though it’s a fairly common sexually transmitted disease, it’s not that common that it wouldn’t take a long trial to get this done.”

But if clinical trials are successful, the vaccine could be much more useful, Mahony said.

All strains of chlamydia use the same protein secretion process to invade cells, which means this vaccine should also protect against strains that cause blindness or pneumonia, Mahony explained.

The study is published July 29 in the journal Vaccine.

More information

For more on chlamydia, visit the U.S. Centers for Disease Control and Prevention.





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Helping a Child Manage a Chronic Illness

THURSDAY, July 21, 2016 (HealthDay News) — Children and teens who feel confident handling a chronic illness on their own appear better able to learn to manage their health as adults, a new study finds.

The University of North Carolina investigators concluded that kids who believe their health is controlled by adults or by chance may not develop the health self-management skills they will need as adults. This could put them at increased risk for health problems.

The study included 163 youngsters, aged 6 to 17, attending a camp for young people with chronic diseases. Researchers asked the participants whether they felt they had control over their health. The researchers also assessed whether the children took medications as prescribed and their readiness to transition to adult care.

Feeling confident about managing their own health and being ready to transition to adult care likely indicate that youngsters trust their doctor to act in their best interest. This makes them more likely to follow their doctor’s recommendations, said the researchers.

The study was led by Miranda van Tilburg, an associate professor of medicine at the university’s Center for Functional GI and Motility Disorders.

According to the U.S. National Health Council, about 8 percent of American kids aged 5 to 17 have at least one limiting chronic disease or disability based on reports from their parents. Examples include asthma, diabetes and epilepsy.

By assessing whether young patients with chronic illness feel they have control over their health, doctors can identify those at risk for problems and take steps to help them, the study authors concluded.

The study was published July 21 in the journal Preventing Chronic Disease.

More information

The American Academy of Pediatrics has more about coping with chronic illness.





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Chickens Make Malaria Mosquitoes Fly the Coop

THURSDAY, July 21, 2016 (HealthDay News) — Although a chicken may seem a strange choice for a bedfellow, sleeping with a poultry partner next to your bed could protect you from malaria, a new study suggests.

Researchers found that one of the main mosquito species (Anopheles arabiensis) that transmits malaria in sub-Saharan Africa avoids chickens when looking for a meal of blood.

The mosquitoes use their sense of smell to distinguish between chickens and animals they feed on.

The discovery suggests that odors emitted by chickens and other animals mosquitoes don’t like to feed on could help protect people from mosquito-borne diseases, the researchers said.

The study was published July 20 in the Malaria Journal.

“We were surprised to find that malaria mosquitoes are repelled by the odors emitted by chickens. This study shows for the first time that malaria mosquitoes actively avoid feeding on certain animal species, and that this behavior is regulated through odor cues,” corresponding author Rickard Ignell said in a journal news release.

He noted that people in sub-Saharan Africa have suffered considerably for a long time because of malaria. And, mosquitoes are becoming increasingly resistant to pesticides. They have also changed their feeding habits, said Ignell, who’s with the Swedish University of Agricultural Sciences in Alnarp.

“There is a need to develop novel control methods. In our study, we have been able to identify a number of natural odor compounds which could repel host-seeking malaria mosquitoes and prevent them from getting in contact with people,” Ignell added.

Researchers from Addis Ababa University, Ethiopia were also involved in the study.

More information

The World Health Organization has more on malaria.





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Omega-3s in Fish Tied to Better Colon Cancer Outcomes

THURSDAY, July 21, 2016 (HealthDay News) — Colon cancer patients who take in higher amounts of omega-3 fatty acids, mainly from oily fish, may have better odds of survival, a new study finds.

The study of almost 1,700 American adults with colon cancer was observational, meaning that it can’t prove cause-and-effect. But it did seem to find a benefit from the healthy nutrient.

One colon cancer expert who reviewed the new findings wasn’t surprised.

“We have long suspected the health benefits of omega-3 fatty acid supplementation,” said Dr. Jules Garbus, a colorectal surgeon at Winthrop-University Hospital in Mineola, N.Y. “This study begins to show a correlation between ‘healthy living’ and reducing death from colorectal cancer.”

In the study, a team led by Dr. Andrew Chan, of Massachusetts General Hospital in Boston, tracked data on 1,659 people diagnosed with colon cancer. During an average follow-up of about 10 years, 561 of the patients died, the researchers reported.

Colon cancer was the cause of death in 169 cases, while other major causes of death included heart disease (153 cases) and other types of cancer (113 cases), the findings showed.

However, patients who consumed at least 0.3 grams of omega-3 fatty acids from oily fish per day after their colon cancer diagnosis were 41 percent less likely to die of the disease than those who consumed less than 0.1 gram per day, Chan’s team said.

The reduced risk was associated with omega-3 from both food and fish oil supplements, but few of the patients used supplements, the researchers noted.

The link between marine omega-3 and lower risk of death from colon cancer was particularly strong for patients who were taller, relatively thin, and did not take aspirin regularly, according to the report.

The study also found that boosting intake of omega-3 by at least 0.15 grams per day after a colon cancer diagnosis was associated with a 70 percent lower risk of dying from the disease, while a reduction in daily intake was associated with a 10 percent higher risk of death from the disease.

The risk of death from all causes was also 13 percent lower in those who increased their intake of omega-3, but 21 percent higher among those who decreased their intake, the researchers said.

One other colon cancer expert stressed that more data is needed to confirm these results.

Dr. Arun Swaminath explained that the study’s data on omega-3 intake came from “food frequency questionnaires,” and these types of studies “have significant weaknesses to the point that some have questioned whether they should be abandoned altogether.” Swaminath directs the inflammatory bowel disease program at Lenox Hill Hospital in New York City.

Similar studies into fish oil and heart health initially spurred enthusiasm about the nutrient until subsequent, more rigorous research “punctured the idea that fish oil was good medicine for heart patients,” he said.

“It’s not clear if [Chan’s study] falls into the same trap as previous studies that found similar associations, but didn’t stand up to rigorous scrutiny,” Swaminath said.

However, “if this association does turn out to be true, then it will be great for patients,” he said. “And I see little downside [other than out-of-pocket costs] to adopting this strategy.”

The study was published online July 19 in the journal Gut.

More information

The U.S. National Center for Complementary and Integrative Health has more on omega-3 fatty acids.





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1 in 10 Americans Has Experienced Ringing in the Ears

By Steven Reinberg
HealthDay Reporter

THURSDAY, July 21, 2016 (HealthDay News) — One in 10 Americans has experienced ringing in the ears, a condition called tinnitus, and that is likely the result of prolonged exposure to loud noises, new research suggests.

Of those who were struck by tinnitus, only 36 percent said they had it constantly, however.

Tinnitus is characterized by hearing sounds when there are none. The sounds can be perceived as ringing, buzzing, crickets or hissing. For those who struggle with it on a daily basis, the noise is so bothersome that it interferes with thinking, emotions, hearing, sleep and concentration, the researchers said.

In the study, “durations of occupational and leisure-time noise exposures correlated with rates of tinnitus and, accordingly, there are likely correctable risk factors that can be addressed in the workplace and at home,” said lead researcher Dr. Harrison Lin. He is an assistant professor in the department of otolaryngology-head and neck surgery at the University of California, Irvine.

But guidelines for treating tinnitus are rarely followed, and “consequently there is considerable room for improvement in the care provided by health care professionals for patients with chronic, bothersome tinnitus,” Lin added.

“Noise exposures at work and at home seem to correlate with the prevalence of chronic tinnitus, and accordingly these noise exposures should be addressed and minimized,” he said. But the study did not prove that such exposure caused the condition.

Doctors can also get better at evaluating and treating patients with chronic tinnitus by “recommending audiological evaluations, sound and hearing aid therapies, and psychological interventions,” Lin said.

For the study, Lin and his colleagues evaluated data on nearly 76,000 adults who took part in the 2007 National Health Interview Survey.

Using that sample to estimate the prevalence of tinnitus in the entire U.S. population, the researchers estimated that nearly 10 percent of adults suffer from tinnitus.

Among those with tinnitus, 27 percent had symptoms for more than 15 years, and 36 percent had nearly constant symptoms, the researchers found. Fifteen percent had symptoms at least once a day, while over 14 percent had symptoms at least once a week. The rest had symptoms less than weekly.

Tinnitus was most common among those with consistent exposure to loud noises at work and during leisure time.

About 7 percent said tinnitus was a “big or a very big problem,” compared with 42 percent who said it was a “small problem.”

About 49 percent had discussed tinnitus with a doctor, and about 45 percent discussed medications with a doctor.

Other treatments weren’t discussed as often: hearing aids (9 percent), wearable (3 percent) and nonwearable (2 percent) masking devices, and cognitive behavioral therapy (less than 1 percent), the researchers found.

The report was published online July 21 in the journal JAMA Otolaryngology-Head & Neck Surgery.

One expert thinks tinnitus is even more common than this study reports.

“Usually we estimate 10 to 15 percent of adults have tinnitus, some studies show it’s as high as 30 percent,” said James Henry, a research career scientist at the U.S. National Center for Rehabilitative Auditory Research at the VA Medical Center in Portland, Ore.

In addition to noise, tinnitus can be caused by drugs that can damage hearing, such as chemotherapy and certain antibiotics, said Henry, who is also a spokesman for the American Speech-Language-Hearing Association.

“There is no cure,” he said. “There is no proven way to reduce the loudness of tinnitus or eliminate tinnitus.” The only recommended treatments for tinnitus are hearing aids or cognitive behavioral therapy. “That’s it,” he said.

Although many so-called remedies claim to cure tinnitus, there is no evidence that nutritional supplements, vitamins or other medications work, Henry added.

Some people ignore their tinnitus, but about 20 percent of people have severe enough tinnitus to need some help, he said.

“There are ways to learn to live with it,” Henry said. “Cognitive behavioral therapy techniques can help you cope with tinnitus.”

If you have tinnitus, you should get your hearing tested, because 90 percent of people with tinnitus have hearing loss, he said.

In addition, sound therapy may help. Sound therapy masks the tinnitus by adding sound to your hearing environment, he said.

“A smartphone is an excellent way to provide sound therapy,” Henry said, “You can access all different sounds on the internet, you can download music — anything you want to listen to through your earphones. That’s a very inexpensive way of providing sound therapy.”

More information

For more information on tinnitus, visit the American Speech-Language-Hearing Association.





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Cancer Experts Criticize Report on Rising Prostate Cancer Numbers

By Steven Reinberg
HealthDay Reporter

THURSDAY, July 21, 2016 (HealthDay News) — A headline-grabbing report earlier this week claimed that new cases of advanced prostate cancer in the United States had skyrocketed 72 percent in the past decade.

And the study authors from Northwestern University suggested the increase might be tied to a 2012 recommendation that men not be screened for prostate cancer by using the prostate-specific antigen (PSA) test. PSA, a protein produced by cells of the prostate gland, is often elevated in men with prostate cancer. However, the validity and usefulness of the PSA test has been debated for years.

But on Wednesday, the American Cancer Society challenged the validity of the Northwestern researchers’ findings.

Dr. Otis Brawley, the society’s chief medical officer, said the methodology used by the Northwestern researchers was flawed, thereby making the study’s conclusions flawed.

“This study makes a dramatic claim about an issue all of us have been watching eagerly: namely, whether less PSA screening might lead to more advanced cancers. But the current analysis is far from adequate to answer that question sufficiently,” Brawley said in a news release.

According to Brawley, the usual way such studies are done is to look at the rate of cases. “But this study, done by a group of urologists, didn’t do that. Rather than measure rates of metastatic disease, they looked at the number of cases. That is far from the same thing,” he explained.

Brawley added that “you can’t simply look at raw numbers. A rising number of cases can be due simply to a growing and aging population among other factors.”

In addition, the increase in advanced prostate cancer cases began before the U.S. Preventive Services Task Force 2012 recommendation that men not be screened using the PSA test.

“There may or may not be a rise in the rates of metastatic disease; but because of a flawed analysis, this study does not answer that important question,” Brawley said.

The study in question was published July 19 in the journal Prostate Cancer and Prostatic Diseases. It said the biggest increase in prostate cancer diagnoses was among men aged 55 to 69, with a 92 percent jump seen over 10 years.

“The increase could be because the disease is becoming more aggressive, or it could be because there is less screening being done, but we don’t know why,” lead researcher Dr. Edward Schaeffer said earlier this week. He is chair of urology at Northwestern University’s Feinberg School of Medicine in Chicago.

It’s possible that prostate cancer may be getting more aggressive, Schaeffer said, but statistics also show that fewer men are being screened. That’s the probable consequence of the 2012 recommendation by the U.S. Preventive Services Task Force, the study authors suggested.

“My major issue with the U.S. Preventive Services Task Force recommendation was it completely excluded the patient from the decision-making process,” Schaeffer said. “PSA screening saves lives, period.”

However, since advanced cancer cases began increasing before the 2012 change in the screening recommendation, the Northwestern researchers couldn’t definitively link the increase in cases to reduced screening alone, Schaeffer said.

Dr. Anthony D’Amico is chief of radiation oncology at Brigham and Women’s Hospital in Boston. He said it’s too early to tell whether less PSA screening has increased the rate of advanced prostate cancer.

“We won’t have the answer to that question until at least 2019,” he said.

The American Cancer Society recommends that men “make an informed decision with their health care provider about whether to be screened for prostate cancer. The decision should be made after getting information about the uncertainties, risks, and potential benefits of prostate cancer screening.” The discussion about screening should take place at:

  • Age 50 for men at average risk of prostate cancer and are expected to live at least 10 more years.
  • Age 45 for men at high risk of developing prostate cancer. This includes African Americans and men who have a first-degree relative (father, brother or son) diagnosed with prostate cancer at an early age (younger than age 65).
  • Age 40 for men at even higher risk (those with more than one first-degree relative who had prostate cancer at an early age).

After these discussions have taken place, men who still want to be screened should get the PSA blood test. The digital rectal exam may also be used as a part of the screening, the cancer society says.

More information

For more on prostate cancer, visit the American Cancer Society.





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